Tag Archives: toxins

Clearing the Roof

The past two weeks wore on me; at times, I felt like I could drown in the pool of stress I had been slowly sweating out of me, a thick quagmire created of my own internal angst that seemed to engulf me from all sides. I’ve drained that pool in the last couple of days after trying a little exercise I like to call Clearing the Roof. Because I realized that stress is a top-down issue, it was going to have to be dealt with right up there, on the roof, where all that clutter and debris had been sitting, decomposing into mucky, thick, unmanageable gunk. Some of it was fresh, identifiable, easily swept away. Some of it had been there for years and was entirely unrecognizable. A whole lot of it, it turned out, was just settled pollution, junk particles that had come to rest because nothing had ever washed them away. It had been a much longer time than I thought since I had done this kind of personal maintenance.

Good thing I had a tall ladder.

But first, some backstory: For years I have talked about the importance of letting go of stress. I have let it eat at me in the past while I absorbed it from other people like an emotional sponge and the effect is that it triggers very strange migraine effects that mess with the speech center in my brain, causes a blind spot that travels across my field of vision and has, on one particular occasion, caused a trans ischemic event that, for those unfamiliar with the term, is kind of like a small stroke during which I lost control of my body, hallucinated that the table full of Happy Hour beer and appetizers was bouncing around, tossing things at me, and then I could not make sentences that anyone (else) could understand for about twenty minutes while my left hand tried repeatedly to climb up my chest. Continue reading Clearing the Roof

Myth of the Wellness Warrior, Part 2: Supplements, Denial and the Birthday Problem

I’ve heard a lot lately about fears that a conspiracy is being perpetrated by the pharmaceutical industry and the government to keep natural cancer cures (and natural or holistic care in general) away from patients. It makes for a dramatic story with lots of Hollywood appeal, but examining the accusations leads down a more insidious path. To get there and understand the full extent of the problem, we need to step back and look at a range of sub-industries within the healthcare umbrella, what they provide and how they intertwine. We also need to understand some basics about statistics and probability that will clarify what some of the facts surrounding this conspiracy really mean. [And when you are done reading this, please continue on with the next chapter in this ongoing series.]

Supplementing the Truth

To begin with, let’s examine the hugely profitable supplements industry (mentioned in Forbes’ SportsMoney column as one of the fastest growing industries in the world). “Natural health” advocates and self-proclaimed gurus often have their own supplement brands which they sell as part of  treatment plans pushed on their web sites, or they have affiliate arrangements with a brand that they offer as being somehow superior to other brands. The supplement industry has grown from the notion that manufactured (or synthetic) vitamins could be used to supplement areas in the diet where a person was not able to consume adequate quantities to be healthy. In an indirect way, it can be traced back hundreds of years to the discovery that citrus fruit — particularly lemons — could prevent sailors from getting scurvy. It turned out that scurvy was a disease caused by a Vitamin C deficiency. By “supplementing” this vitamin, the disease could be avoided. Continue reading Myth of the Wellness Warrior, Part 2: Supplements, Denial and the Birthday Problem

The Chemo Diaries: The Worst Day

With chemotherapy, there is one thing that is certain from cycle to cycle: there is always a dance between the predictable and the unpredictable. Which is to say, much of what a patient goes through can be anticipated, but there is always the possibility of a subtle or surprising change. We plan out our schedule as best we can based on previous experience, but sometimes — perhaps every time — we need to roll with how our bodies react.

Breakfast at my desk
Breakfast at my desk

I had my infusion on Monday (as is my preference). For the past year, it has been safe to say that Thursday (today) would be my “worst” day. I should be feeling the effects in my head and my gut right now, full force; I should be tired, irritable, woozy, even slightly sick to my stomach. I should be curled up on the couch or wanting very much to be there. But I’m eating a bagel at my desk and typing this and ruminating on going out for a burger. And I’m doing the household laundry, a whole week’s worth, but that’s another story.

My last chemo cycle was pretty close to normal, but I started feeling crappy a day early and finished feeling crappy a day early, all more or less. It improved that weekend, because I was more active and felt better by Saturday. I like that as a trend and hope that this weekend is quickly cleared up — especially because the weekend after my next infusion has a camping trip clearly written on the calendar. This is a precedent I can get behind. Yesterday, however, rather than having me feeling crappy a day early, I barely felt crappy at all. It is certainly enough to give me pause. But there may be a very obvious reason for why I’m feeling better (or at least less ill) this time around. Continue reading The Chemo Diaries: The Worst Day

My Frenemy, Dexamethasone

When initially discussing chemotherapy treatments, most people begin with the thought that it is the chemo drugs themselves, those infamously toxic concoctions, that the patient would complain about most, or fear, or suffer from. And chemo does suck, what with the potential for nausea and fatigue and that notorious chemo brain. But do you know what really sucks, dear Reader? Steroids.

I recognize the importance of the Dexamethasone pills I take for three days at the start of each infusion cycle. And I appreciate that I am not taking Prednisone, which some of my friends have been saddled with for lengthy periods of time and which I had seen turn my father’s final years into a much less pleasant time than they should have been. I owe a debt to Prednisone, without which I would not have gotten ill enough to eventually lead to my cancer diagnosis, but I will never take it again. Dexamethasone, on the other hand, I can deal with. I don’t like it, but I understand the need to make my peace with the sleepless nights and mild dizzy spells and increased irritability, the hoarseness and seemingly endless peeing. Continue reading My Frenemy, Dexamethasone

The Chemo Diaries: 10 Months

Let me just start by saying I feel great. I just had another CT scan about a week ago and it is showing clearer edges to the main tumor, some puckering in the middle and overall indicates good progress. Yesterday I had my infusion of Alimta and for a nice change of pace I have cut my steroid use in half — which so far is going quite well for me. I am not a fan of steroids and this was one of my top objectives. The result has been a clearer head so far, a bit more sleep and less swelling of my feet, which translates to a nice win in my playbook. All in all, I am quite pleased with my week.

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The only downsides are things that probably won’t be issues for a while, possibly a long while. One of the effects of infusions is that slowly but surely veins collapse. I always had marvelous veins for drawing blood but they have taken a heap of abuse over the past year and a half. The labs approved by my HMO tend to use the biggest needles possible for the fastest draw and while that never bothered me before, the chemo had made it so that I bruised easily and had to rotate veins every few weeks just to avoid issues with leaking. It wasn’t until about eight months in to my treatment that a nurse in the infusion clinic asked me why I didn’t just request butterfly needles… The veins are much less prone to bruising now. Who knew?

Still, the veins are a bit of an issue. I still have plenty to experiment with, but we had to move from the arm down to the hand for this last round. My hand veins, possibly due to my normally low blood pressure, stay fairly plump most of the time, making them good targets. But it got the nurse talking to me about putting in a port one day, just to make things easier. Such a port would be under the skin just over my heart, kind of a permanent plastic plug right into my largest vein. Supposedly that would be good for a few years of constant use. Still, it isn’t something I am in a rush to do.

But a few years or more is certainly what I am looking at right now. While no one will put a timeline on anything regarding treatment, my oncologist did say that he expected I would remain on this current regimen for a fairly long time. That is pretty good news in its own special way. Of course, the main reason for switching off it would be the commercial availability of PD1 therapies. We are eager to try those, but not so eager to qualify for clinical trials, which would require progression of the cancer after the failure of my current chemo. For now, that wait is a good one.

Perspective: One of the Greatest Gifts of a Cancer Diagnosis

I was skulking around the house last week, ruminating on just how bad I smelled. My wife was getting annoyed with me, insisting that I did not smell any differently; it was a hot, stagnant summer day and I was sweating (I felt) profusely. My chemo treatment was beginning to purge from my system and it seemed to me that as I would walk around a corner or even just turn my head, I would get a wiff of something nasty, putrid, sour. And I couldn’t shake it — that smell was just plain bad.

But it couldn’t be identified, or even located. And I was the only one smelling it.

Then I started to take stock of all my symptoms, which I do now and then as both a way of monitoring my body and keeping a sense of humor about the process. Because it can be pretty gross. Let’s face it, no one likes to think of themselves covered in puss-filled sores, hobbling about on swollen feet and wafting fetid breezes from God knows where throughout the room. Continue reading Perspective: One of the Greatest Gifts of a Cancer Diagnosis

The Chemo Diaries: More Summer Fun

Aside from my ever diminishing veins, the infusions during maintenance continue to be easy and relaxing. I guess I am lucky in that way — I know people who have different cocktails that they have various reactions to, from rash to fever to nausea on one end and flat out groggy sleep on the other. During these Alimta cycles, I am in and out fairly quickly and my biggest complaint is not having enough time here with the heated massage chair and my morning coffee to, uh, get any real work done…

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finally time for my cup of morning joe

 

Two infusions ago this chemo drug appeared to really mess with my digestive system, but it cleared up just in time for my scheduled CT scan and did not recur with the following round. The assumption now is that I simply caught a stomach bug that lingered for a couple weeks. The whole repressed immunity thing has been on my mind lately, and not just because what probably should have been a 24 hour virus took me 14 times longer to purge from my system.

Although the ensuing three weeks were relatively symptom-free (steroids make me irritable, mess up my sleep for three or four days and make me an emotional raw nerve; the chemotherapy wreaks havoc with my joyous time travel into the land of teenage acne, but even these things seemed to lessen somewhat), the issue of immunity and, more specifically herd immunity, was thrust back front and center when we brought a new kitten home from the pound. Continue reading The Chemo Diaries: More Summer Fun

The Chemo Diaries: Summer Maintenance

One of the fun things about chemotherapy is the surprise side effects that pop up, differing from one round to the next. For the most part, after you’ve had a few rounds, you know what to expect in broad terms. Some issues get cumulatively more pronounced, others perhaps seem less so. But the element of surprise is always there with something.

When I switched from the three drug infusion that was designed to beat the cancer cells with a sledge hammer, to a single drug infusion that is basically intended to keep tapping at those cells in a more gentle fashion, I noticed a huge difference in how I felt during the critical week that followed. After six rounds of the hard stuff, it had been really getting to me. My body, as healthy as it otherwise is, was feeling a bit worse for wear. I was exhausted. I felt like I had a brain cloud. Then suddenly, after the maintenance infusion cycles began, it was like a weight had been lifted. It wasn’t necessary for me to take my anti-nausea meds anymore. I could think (relatively) more clearly.

There were still side effects, though. The chemo still made me tired, still had smaller versions of the same things that had been bothering me before. Now my feet were puffy, then it would be something else. Another cycle or so in and some of the issues I had been so happy to avoid seemed to come back again, perhaps in a lighter dose, and I spent a couple weeks with some truly odd gastrointestinal issues before going in for another in my string of exciting CT scans. Continue reading The Chemo Diaries: Summer Maintenance

Scanning the Options

Today I had the pleasure of going in for a CT scan, which I mean literally, as in I enjoy the experience. It is a brief scan, takes less than fifteen minutes in the actual room, but for some reason I always find it quite relaxing. The parts leading up to the scan aren’t quite as comfortable. Like choking down the solution that will make me light up from the inside…

Drinking a barium solution
Getting Radioactive

Drinking barium sulfate has become somewhat less disgusting since they introduced the mochaccino flavor, it’s true. One of the ladies in reception noticed my second bottle of the morning during my check-in and mentioned that she heard it was “pretty good.” I told her that “more palatable” was a better description, but it is admitedly a huge leap over the nasty flavors offered just a few months ago. Just one additional way in which science is continuing to earn that motto, “better living through chemistry.”

And the fasting; I hate the fasting. Not that I can really complain about four hours between 6:30 and 10:30 in the morning — since these are my usual hours between breakfast and my late-morning snack, I got off easy today. My scans are usually a bit earlier and I can’t sneak a meal in, but today I got lucky.  That’s why, I suppose, I was in an especially good mood upon arrival. Continue reading Scanning the Options

Integrative Medicine, Positive Care and Negative Ramifications

If we, as a society, could allocate just an additional $120 million each year toward research and development of new cancer treatments, that would seem like a great idea. Because there is a lot of money out there already directed at existing therapies, running clinical trials of proven concepts and supporting the refinement of effective treatments already in existence, it also seems like a great idea to take this $120 million and direct it toward new concepts and approaches that are not yet mainstreamed into Western Medicine. This is the reason, I suspect, that over the past twenty years or so, Complementary and Alternative Medicine (CAM) has morphed into Integrative Medicine and has been granted enormous research subsidies and acceptance within many mainstream health institutions. Allocating even a mere $120 million is a huge responsibility, so it also seems like it would be a great idea to carefully vet the areas on which the funding will be spent.

Here is some amazing news: the actual amount of government funding for research on Complementary and Alternative Medicine in 2015 and 2016 has reached $369 and $378 million annually, according to the National Institute of Health. This should be a Golden Age of Medical Advancement! Sizable annual funding being made available outside of the mainstream of modern medicine must be the answer to why there has been no definitive Cancer Cure.

Only it isn’t. And the reason is Continue reading Integrative Medicine, Positive Care and Negative Ramifications